SIRAN S RAOUF Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****14

License Status

NOT RENEWED

Business

First Name

SIRAN

Middle

Last Name

RAOUF

Business Name

SIRAN S RAOUF

Original Issue Date

11/12/2002

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

LEMONT

State

Zip

60439

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009